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Overview

Our training program is designed to offer a range of robust experiences and the development of a foundational informatics knowledge base. Learning activities and career planning will be customized and tailored to the career goals and interests of our CI fellows with the aim to provide a dynamic, mentored learning experience that equips our graduates with the tools to succeed as clinical informatics physician leaders.

Leadership & Change Management

Experiences include serving as Assistant Lead Informatics Physicians at UNC Health ISD and working embedded in a wide range of teams so that fellows obtain a breadth of experiences as well as in-depth learning in electives. Our fellows will have the opportunity to work collaboratively with our ACO and practice, quality, and innovation teams (UNC Health Alliance) as well as various IT teams across analytics, reporting, various applications, integration/interoperability and more. Our fellows will have access to quality improvement resources and training provided by our UNC Institute for Quality Improvement, which includes Lean Six Sigma training. Additionally, fellows will gain exposure to practice transformation and change management to further develop as physician leaders.

Our fellows will also complete formal coursework through online courses in clinical informatics and conduct of research, and have clinical informatics-focused educational sessions such as weekly fellow’s seminars.

Our fellows have access to the rich informatics resources that UNC has to offer at the University and across our Health Affairs schools. UNC is fortunate to have an NIH-funded clinical translational science award, which houses our NC TraCS Institute (home of the UNC CTSA) that provides a number of services, including our Informatics and Data Science Core that is the home to our robust enterprise data warehouse for research (Carolina Data Warehouse for Health or CDWH). The UNC Health Sciences Library which is located steps away from the UNC School of Medicine, and hosts a number of resources including the first Digital Health Lending Library in the nation and specific librarians for health informatics!

The Carolina Health Informatics Program or CHIP is the home to our master’s and doctoral informatics and data science programs and home to our NIH-funded T32 training program (predoctoral and postdoctoral). Coursework is available to our fellows.

Objectives and Goals

The UNC Clinical Informatics Fellowship will train fellows in an invigorating, supportive environment where they will carefully apply clinical informatics theory in ways that lead to measurable improvements in clinical processes and patient/family outcomes as confirmed by rigorous evaluation.

The program aims to:

  • Ensure that fellows understand how to leverage information and communication technology
  • Participate in practice-based learning and improvement focused on how HIT and informatics tools can be utilized for improving safety and quality of care
  • Understand how to use IT to locate, appraise, and assimilate evidence and apply it to patient care
  • Develop competencies in leadership and interpersonal and communication skills, and how to serve as a liaison between IT, administrators and clinicians and be an effective member or leader of the team
  • Ascribe to the highest standards of professionalism and ethics in all
  • Demonstrate an awareness of responsiveness to the larger context and system
  • Gain skills in teaching and in conducting scholarly activities

Upon completion of fellowship, fellows will:

  • Be board-eligible for the clinical informatics subspecialty certification exam (Preventive Medicine pathway) and will be prepared to pass the exam to become certified in the subspecialty of Clinical Informatics
  • Have an Individualized Learning Plan that demonstrates that they can independently practice clinical informatics
  • Have presented at conferences on clinical informatics topics
  • Have completed an informatics scholarly activity, and have submitted an abstract or a manuscript
  • Have maintained their primary certification so that they may practice clinically

Educational Goals

  • Fellows will have practical experience working effectively in multidisciplinary teams to improve patient care outcomes and/or patient safety
  • Fellows will understand evidence-based medicine concepts and data/analytics and use these tools when creating/updating clinical decision support tools
  • Fellows will apply workflow analysis, usability testing, and improvement science concepts to improve clinical informatics solutions and to improve care and health outcomes, enhance health, and/or decrease costs
  • Fellows will independently design high quality informatics tools such as clinical decision support tools
  • Fellows will effectively prioritize projects and communicate project status
  • Fellows will understand how to design and execute an informatics scholarly activity project
  • Fellows will gain experience guiding and leading implementation and use of clinical information systems

Training

As required by the ACGME, the program requires residents to acquire core competencies in clinical informatics. The core competencies include:

  • Patient Care
  • Medical Knowledge
  • Practice-Based Learning and Improvement
  • Interpersonal and Communication Skills
  • Systems-Based Practice
  • Professionalism

Fellows participate in long-term assignments, including:

  • Scholarly Activity Projects
  • Meetings (strategic, executive leadership, operational, IT, governance, project-oriented, project management, fellow’s seminars, etc.)
  • Applied Informatics Projects

Examples of coursework and certifications include:

  • AMIA OHSU 10×10 Course (paid for by the program)
  • Duke Master of Management in Clinical Informatics Health IT Business Solutions Course
  • Epic Physician Builder Courses (Basic & Advanced or Analytics)
  • Training in Research Ethics (CITI Training and Responsible Conduct of Research Workshop)
  • UNC Institute for Quality Improvement’s Physician Engagement in Quality and Safety Course
  • Lean Six Sigma Yellow Belt Certification with the option of continuing to complete LEAN Blue or Purple Belt certifications
  • Epic SlicerDicer Training
  • Epic Physician Power User Training
  • i2b2 @ UNC

National Conferences

Fellows may also attend at least one key informatics conference each year such as AMIA Annual Symposium, Epic User Group Meeting, or AMIA Clinical Informatics Conference.

Block Schedule

Note: All blocks are held at UNC in Chapel Hill, NC

Block 1 2 3 4 5 6 7 8 9 10 11 12
Year 1 ICI ICI ICI ICI ACI ACI ACI SAP SAP SAP ELE ELE
Year 2 SAP SAP SAP SAP SAP SAP SAP SAP SAP ELE ELE ELE
% Clinical 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20%
% CI Coursework 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10%

Key:

ICI Introduction to Clinical Informatics Rotation
ACI Advanced Clinical Informatics Rotation
SAP Scholarly Activity Project Rotation
ELE Elective

Example of Elective Choices (the same elective may be repeated up to 2 times):

  • Clinical Decision Support
  • Training and End User Support
  • Consumer Health Informatics (patient portal, virtual care, telehealth, remote monitoring, etc.)
  • Quality/Safety
  • Privacy and Security
  • Analytics and Predictive Modeling
  • Clinical Informatics Research
  • Population Health Informatics
  • Other (fellows may elect to design their own elective or rotate at external organizations such as industry partners, federal/government partners, start-up companies, etc.)

Resident Diversity Initiative

We believe that the richness of a diverse workplace drives all to their very best, professionally and personally. Cultural humility is not only about relating to patients and their families; it is about working in a culturally rich environment. The patient population we serve at UNC Hospitals is remarkably diverse and, as such, diversity in our residency, fellowship, nursing, faculty and staff enables us to better serve their needs. Promoting diversity in our residency programs is the right thing for our institution, and enables us to provide the very best in clinical care, education and research to the remarkable patients that we serve.

UNC School of Medicine, Office of Graduate Medical Education

We are committed to achieving diversity in the individuals participating in the fellowship through ensuring that a diversity of perspectives and backgrounds are represented in the program. We are fortunate to have diversity reflected within our faculty, administrative personnel, and IT staff.

Wellness

Our program and the health system is committed to fellow wellness and well-being. There are many resources and services dedicated towards wellness, well-being, and prevention of burnout, including:

Salary and Benefits

Additional information is available at the UNC Graduate Medical Education website. Salary pay scales are set by the institution annually and are not negotiable.

For salary pay scales, please note that the minimum number of required accredited years of training to be eligible for our program is 3 years. Your annual salary will be determined by the number of years required for your primary specialty’s residency training program.

2021-2022 Pay Scale

Post Graduate Level Annual Salary
I $57,158.40
II $59,196.80
III $61,339.20
IV $64,230.40
V $67,080.00
VI $69,659.20
VII $70,075.20
VIII $77,251.20